ABSTRACT
The scapula and parascapula provide variable-sized flaps with consistent and reliable anatomy for chest wall reconstruction. As pedicled flaps they can be used to reconstruct local chest, axillary, neck, and extremity wounds. When used as free flaps, the circumflex scapular vessels provide a lengthy pedicle that allows coverage of a variety of defects, and also allows the combination of multiple tissue types. A number of modifications, including preoperative expansion, further increase the use of these versatile flaps.
